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1952945008
SHANNON RADKE
GRAND RAPIDS, MI
NPI
1952945008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-11-01
Last Update Date
2024-10-31
Business Address
SHANNON RADKE
200 JEFFERSON AVE SE STE 1000
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-3358
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Mailing Address
SHANNON RADKE
200 JEFFERSON AVE SE STE 1000
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-3358
Copy
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